Organization Active NPI

Telaclinic

  • Adult Medicine Physician
  • Rosenberg, TX
National Provider Identifier
1114244704
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
L8734 Issued in TX
Legal business name
TELACLINIC
Practice address
117 Lane Dr
Suite 2
Rosenberg, TX 77471-2200
Phone
(281) 633-0148
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Walter Holmsten
Title
President
Phone
(281) 633-0148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X L8734 TX Primary

Addresses

Primary practice location

117 Lane Dr
Suite 2
Rosenberg, TX 77471-2200

Mailing address

9337B Katy Fwy
131
Houston, TX 77024-1515
Phone (281) 633-0148

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1114244704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9337B KATY FWY",
            "address_2": "131",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241515",
            "telephone_number": "281-633-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LANE DR",
            "address_2": "SUITE 2",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712200",
            "telephone_number": "281-633-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELACLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "HOLMSTEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-633-0148",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "L8734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.